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Individual

LINDSEY WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5320 W SUNSET AVE STE 157, SPRINGDALE, AR 72762-4410
(479) 966-7331
(479) 408-4285
Mailing address
5320 W SUNSET AVE STE 157, SPRINGDALE, AR 72762-4410
(479) 966-7331
(479) 408-4285

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-483
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
224931795
AR
Enumeration date
05/08/2012
Last updated
06/07/2021
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